| Jessica Landry Fultz, Lcsw, Llc | |
|
221 N Monroe St Suite B Marksville LA 71351-2311 | |
| (318) 305-9210 | |
| Not Available |
| Full Name | Jessica Landry Fultz, Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 221 N Monroe St, Marksville, Louisiana |
| Authorized Official Name and Position | Jessica Landry Fultz (LCSW) |
| Authorized Official Contact | 3183059210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Landry Fultz, Lcsw, Llc Po Box 65 Hessmer LA 71341-0065 Ph: (318) 305-9210 | Jessica Landry Fultz, Lcsw, Llc 221 N Monroe St Suite B Marksville LA 71351-2311 Ph: (318) 305-9210 |
| NPI Number | 1134522253 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134522253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11307 (Louisiana) | Primary |
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